NPI | 1538383138 |
---|---|
Other Name | PEID |
Entity Type | Organization |
Authorized Contact | RENDA DUBOSE Credentialing Coordinator 540-373-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2007-04-13 |
Last Update Date | 2024-08-15 |