NPI | 1518280148 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY JEAN PURNELL Owner 919-943-9106 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 1182-05-001) |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |