| NPI | 1306065099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE WEST MANGUM President 910-483-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 2463) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |