| NPI | 1841410412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HORTON HARUM CEO 910-319-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: NC 34344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 34344) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-12-22 |