| NPI | 1760650907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GREEN President 704-510-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5869) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |