| NPI | 1407977747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA EVANS OATES Owner 910-488-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 174400000X Specialist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-10-14 |