| NPI | 1285317370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DEVINE TARKINGTON Speech Language Pathologist 919-605-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |