| NPI | 1578990974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA RIDGES Director 919-776-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 53000189) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |