| NPI | 1891559704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA VICKERY Speech/Language Pathologist 410-241-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |