| NPI | 1205401361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BEATTY Speech Language Pathologist/Owner 252-908-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |