NPI | 1639492796 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WALKER Owner 252-432-6308 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2010-03-03 |
Last Update Date | 2021-08-20 |