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Organization

123 GO KIDZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS NORA ELIZABETH SPIRES BS, ITFS (OWNER/CBRS PROVIDER)
(252) 342-4043
Entity
Organization

Contact information

Practice address
2339 SHORE DR, MOREHEAD CITY, NC 28557
(252) 342-4043
(888) 731-1425
Mailing address
2339 SHORE DR, MOREHEAD CITY, NC 28557-9415
(252) 342-4043
(888) 731-1425

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
05/22/2013
Last updated
06/14/2018
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