| NPI | 1619333093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL LAVERN GRIFFIN Executive Director 919-685-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2017-04-19 |