| NPI | 1649952136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVODKA LOVE NOWACKI Clinical Director 828-443-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |