| NPI | 1770911109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKY IHENYEN Owner 919-491-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2025-09-18 |