| NPI | 1811412935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARROLL HINESLEY Managing Member 336-460-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-17 |