| NPI | 1770902520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SCALF PRIEST Owner 252-229-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC C008271) |
| Additional Taxonomies | 251S00000X (Licence: NC C008271) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |