| NPI | 1225716178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA MARIE CAMPBELL Owner 910-849-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-31 |