| NPI | 1043694037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDESE A CALLENDER CEO 910-728-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |