| NPI | 1881636223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET JACOBS Chief Manager And Co Owner 651-639-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-07-13 |