| NPI | 1780293787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HAMMOND Owner 251-232-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |