| NPI | 1003236050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY INMAN Program Manager 336-561-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 10443A) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |