| NPI | 1164556809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SCALF PRIEST Owner 252-229-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC C008271) |
| Additional Taxonomies | 174400000X Specialist |
| 251S00000X Community/Behavioral Health (Licence: NC C008271) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-04-09 |