| NPI | 1689067191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLI MOORE AMBRO Speech/Language Pathologist 336-852-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC 1463) |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |