NPI | 1306376660 |
---|---|
Entity Type | Organization |
Authorized Contact | TAKIERRA LANAE HOPKINS Owner 704-719-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-06-19 |
Last Update Date | 2024-08-05 |