| NPI | 1053801027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE BADGER Developmental Therapist 919-539-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |