| NPI | 1336423540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETONYA SHAW Directoe 336-884-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 8303323) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |