| NPI | 1164734711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE YOUNG-CLINE Owner/Director 843-457-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4691) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |