| NPI | 1548789787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DORMAN Organizer 336-609-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 11841) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |