| NPI | 1982375150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY POOLE Accounting 702-373-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |