| NPI | 1538619135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL MARIE BIZUB Director 919-870-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11982) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |