| NPI | 1891148730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL GRACE Owner Director 336-705-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC WSCDSA-0716) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2021-11-24 |