| NPI | 1164651873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIC J BOSTON Executive Director 919-619-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |