| NPI | 1548484546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL POWELL PEEBLES Executive Director 919-412-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-02-02 |