| NPI | 1265689285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOU RICE President 336-312-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 3515) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |