| NPI | 1962110908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLYN ANN GALLEGO SUMBILLO PARK President/Slp 657-215-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |