| NPI | 1902165061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA MCCLOUD Speech Langauge Therapist 828-230-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 3675) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 465) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2014-11-13 |