| NPI | 1528390168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE F DICKERSON Business Adminstrator/Counselor 704-449-3892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |