| 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 |