| NPI | 1285524405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY S NOLAN Owner 910-343-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |