| NPI | 1952698920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDIE TITO Organizer 910-367-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8096) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |