| NPI | 1891192340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATAKI CLEMMONS Owner/Operator 919-423-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9243) |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2014-11-28 |