Organization
STATE OF NC DIVISION OF HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH E. CARROLL PH.D. (EARLY INTERVENTION BRANCH HEAD)
(919) 707-5520
Entity
Organization
Contact information
Practice address
87 BONNIE LANE, SYLVA, NC 28779-8511
(828) 631-3900
(828) 631-9200
Mailing address
DPH- EARLY INTERVENTION BR, 1916 MAIL SERVICE CENTER, RALEIGH, NC 27699-1916
(919) 707-5520
(919) 870-4834
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403415
—
NC
Enumeration date
04/17/2007
Last updated
06/04/2012
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