| NPI | 1649452079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENEE NITKIN President 919-449-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-28 |