| NPI | 1659621985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN EVANS GORE Owner 910-671-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: 1102) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-12-13 |