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