| NPI | 1891506440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GILLILAND Owner 601-577-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |