NPI | 1881184851 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES LEWIS LAYTART Credentialing Specialist 952-915-6248 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
Enumeration Date | 2018-05-15 |
Last Update Date | 2019-06-27 |