NPI | 1760868905 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL HUGHEY GRACE Owner 336-705-1763 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC WS-2015-01) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2015-08-10 |