| NPI | 1346672912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVIS S FUENTES Developmental Therapist 919-437-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NC ITFS) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-07 |