| NPI | 1306224019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORDAO BERNARD MCKENZIE Therapist 336-404-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 2827-A) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |