| NPI | 1578112579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA TASHONDA POWERS Speech Language Pathologist 910-918-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |