| NPI | 1992584189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA WADDELL Executive Director 910-460-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |