Organization
GET SMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA RIDGES (DIRECTOR)
(919) 776-6119
Entity
Organization
Contact information
Practice address
1309 WASHINGTON AVENUE, SANFORD, NC 27330
(919) 776-6119
Mailing address
1309 WASHINGTON AVENUE, SANFORD, NC 27330
(919) 776-6119
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
53000189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991
—
NC
Enumeration date
09/30/2013
Last updated
09/30/2013
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