| NPI | 1992993588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PROVOST Director 919-208-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC 7545) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |