| NPI | 1922391762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WILSON President 636-532-3211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |