NPI | 1104071687 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WILLIAM BODFISH Director 919-966-4896 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NC 1466) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2008-11-25 |