| NPI | 1164152633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANAH JONES Owner 919-758-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 133NN1002X Nutritionist Nutrition, Education | |
| 163WC0400X Registered Nurse Case Management | |
| 171400000X | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-24 |