| NPI | 1083894554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEWIS Developmental Therapist 919-554-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |