| NPI | 1255965885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MONICA DE LA CRUZ Director/Owner 919-464-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2021-08-02 |