| NPI | 1730535659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKERA YANEE BETHEA Consultant 910-373-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |