| NPI | 1528500220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY YOLANDA PURCELL Owner 910-733-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7605) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |