| NPI | 1922146877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELORE LITTLE Dir, Contracts & Credentialing 336-545-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-01-17 |