| NPI | 1043349624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA PHILLIPS Ec Director 910-914-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2655) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |