| NPI | 1366549636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SULLIVAN Executive Director 919-781-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-03-18 |