| NPI | 1144659855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WATSON WILLIS Developmental Therapist 910-658-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2013-11-03 |