| NPI | 1417080607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SMITH President 919-981-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3874) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-07-25 |