| NPI | 1902499114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER N. YOUNG Speech Language Pathologist 910-850-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |