| NPI | 1518134709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GREEN Manager 704-973-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5869) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |