| NPI | 1114159654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS JEROME HILL Owner / CEO 910-628-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC MHL-0-78-231) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |