| NPI | 1093864399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY D CARRINGTON-HATLEY Owner 919-641-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NC MHL-032-383) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-09-30 |