| NPI | 1952650343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE PULLINS Speech Pathologist 304-542-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WV 0549) |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication (Licence: WV 0549) |
| 283XC2000X Rehabilitation Hospital, Children (Licence: WV 0549) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |