| NPI | 1962701276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE D TAYLOR Member/Manager 919-815-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4884) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |