| NPI | 1952539850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE MARCELLUS Owner 919-528-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |