| NPI | 1982477949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCHESCKA KEPHART CEO 910-320-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |