| NPI | 1801613229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MARIE ROGERS Owner 704-662-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-03 |