NPI | 1154728657 |
---|---|
Entity Type | Organization |
Authorized Contact | ENSLEY GRAVES Founder 803-387-1460 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4676) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2014-11-26 |