| NPI | 1295979706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RAY Owner 919-673-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 305S00000X Point of Service | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |