| NPI | 1245847524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE M. JOHNSON Co Owner 919-593-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-08-07 |