| NPI | 1649511866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BYRD Manager 336-528-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4241) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |