| NPI | 1043459019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA LYNNETTE GREGORY Co Executive Director 252-334-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-05-28 |