| NPI | 1114767993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENETTA HENDERSON CEO, CFO 919-247-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |