| NPI | 1801367107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA WALTERS Owner/Manager 251-680-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2024-11-18 |