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 |