| NPI | 1154101442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA GATES Speech Language Pathologist 910-987-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |