| NPI | 1003086752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE NESBITT Executive Director 910-893-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| 235Z00000X Speech-Language Pathologist, | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TF0000X Psychologist, Family | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-09-26 |