| NPI | 1326402835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J'MIA KAE WADE Owner 336-817-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11423) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |