| NPI | 1841438181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ELLIOTT Director 910-641-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |