| NPI | 1629301866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIA FERNANDEZ Developmental Therapist 910-978-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |