| NPI | 1679042899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GRASS Speech Language Pathologist 919-455-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-03-23 |