| NPI | 1033546866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROARK President 304-228-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WV SLP-1132) |
| Enumeration Date | 2013-10-13 |
| Last Update Date | 2013-10-13 |