| NPI | 1891030318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KYLE MEADES President 520-232-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 5096) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-26 |