| NPI | 1255702155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARROLL HINESLEY Child Based Rehabilitative Service 336-460-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 252Y0000X) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2015-10-18 |