| NPI | 1750626917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY TEAL Slp 704-258-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 8042) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |