| NPI | 1942328695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LULA MCDONALD Owner Admin 910-480-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NC FCL026029) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |