| NPI | 1215953906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ELLIOTT Director 910-822-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 224Z00000X Occupational Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 222Q00000X Developmental Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-16 |