| NPI | 1821469859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE NAWIN NYEPLU Chief Executive Officer 336-655-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |