| NPI | 1801449830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNITA F WOODS Speech Language Pathologist 910-964-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2021-04-20 |