| NPI | 1760024012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREVA RUFFIN Speech Language Pathologist 252-315-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |