| NPI | 1295089225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYN COATS Owner 919-619-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8865) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |