| NPI | 1639504103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA H NELON Owner 910-308-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5251) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |