| NPI | 1083126676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN COMMEDO MORAVIAN Founder/Admin 336-554-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-03-17 |