Organization
INTERVENTION FOR YOUNG CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH C. ROGERS M.A., M.S. (PRESIDENT)
(252) 799-9555
Entity
Organization
Contact information
Practice address
1077 HILLCREST DR, WILLIAMSTON, NC 27892-8698
(252) 799-9555
(252) 809-1055
Mailing address
1077 HILLCREST DR, WILLIAMSTON, NC 27892-8698
(252) 799-9555
(252) 809-1055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300144
—
NC
Enumeration date
03/30/2007
Last updated
08/22/2020
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