NPI | 1285202168 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY MI'SHELLE ROBERTS Speech & Language Pathologist/Owner 910-584-7105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
Enumeration Date | 2021-06-16 |
Last Update Date | 2021-06-16 |