| NPI | 1508052556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BARNES Owner/Manager 919-577-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NC 4178) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2013-07-02 |