| NPI | 1013082312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE C GAYLE Executive Director 910-692-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NC 6355087) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-23 |