| NPI | 1285025189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DUNSTON CHANCELLOR Developmental Therapist 919-478-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2021-08-13 |