| NPI | 1992024772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN STEPHENS Owner 910-308-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 171M00000X Case Manager/Care Coordinator | |
| 252Y00000X Early Intervention Provider Agency | |
| 302F00000X Exclusive Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |