| NPI | 1508941618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY PENLEY President 919-787-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5585) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-08-28 |