| NPI | 1891190971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILENA CHAVIS Member/Organizer 910-740-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8616) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |