| NPI | 1881136851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY L GIBBS President 910-300-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-10-26 |