| NPI | 1770802811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAVEE DENISE WILLIAMS Executive Director 252-412-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |