| NPI | 1205388014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINA BREWER Compliance Administrator 704-905-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |