| NPI | 1548927882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA HAYWOOD DANIELS CEO 252-217-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2025-01-15 |