| NPI | 1861764094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUCAS THOMAS Speech Language Pathologist 919-609-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2021-09-17 |