| NPI | 1720353543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIANN E KINNEY Chief Operating Officer/Director 910-670-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2019-12-03 |