| NPI | 1194590729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VUNCANNON Executive Director 336-953-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-10-09 |