| NPI | 1568772069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE BETHEA JONES Director 910-920-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2895) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-11-23 |