| NPI | 1922681261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DAVIDSON Owner 501-847-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-07-26 |