Organization
MT JEFFERSON CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY GOSS (CENTER DIRECTOR)
(336) 846-2208
Entity
Organization
Contact information
Practice address
123 GENTRY ST, JEFFERSON, NC 28640-9787
(338) 846-2208
(336) 846-2697
Mailing address
123 GENTRY ST, JEFFERSON, NC 28640-9787
(338) 846-2208
(336) 846-2697
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
05000070
NC
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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