| NPI | 1285089532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONDRA DOROTHEA DILLARD-COBB Chief Operating Officer/Director 910-257-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2020-03-09 |