| NPI | 1740603661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN THEYS Owner/Administrator 919-915-1893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8539) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-05-09 |