| NPI | 1770988669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SOLDAN BROADFOOT Speech Language Pathologist 252-339-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: NC 11106) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |