NPI | 1194397596 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICICA CHAMBERS Owner 704-493-3356 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261QM0801X | |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |