| NPI | 1043623408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MORTENSON RIGGS Owner/President 910-358-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9085) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-03-31 |