| NPI | 1912375056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ROUCO Human Resources Generalist 1610-925-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |