| NPI | 1265024202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIEEDA WARD Clinical Director/Speech Therapist 910-262-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-11 |