| NPI | 1538584420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HETTLEMAN Treasurer 336-572-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 03000062) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |