| NPI | 1306085410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J HENDERSON President 252-331-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: VA 841) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2010-04-20 |