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 |