NPI | 1275813594 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMILA PERRY FOREMAN President/Owner 336-624-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8762) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |