NPI | 1891317004 |
---|---|
Former Legal Business Name | CHRYSALIS FEEDING |
Entity Type | Organization |
Authorized Contact | ZACHARY HENNING Chief Operating Officer 864-383-8634 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-05-11 |
Last Update Date | 2021-05-07 |