NPI | 1194986406 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY W BARBER Speech Language Pathologist 336-687-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NC 4592) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |