| NPI | 1760507990 |
|---|---|
| Doing Business As | CHILDREN'S DEVELOPMENTAL SERVICES AGENCY |
| Entity Type | Organization |
| Authorized Contact | GARY JUDSON STAINBACK Director Cosa 252-737-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 225100000X Physical Therapist | |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner | |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-17 |