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Organization

CHILD DEVELOPMENT CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY B. HADDOCK RN,MSN (EXECUTIVE DIRECTOR)
(910) 343-4245
Entity
Organization

Contact information

Practice address
3802 PRINCESS PLACE DR, WILMINGTON, NC 28405-3226
(910) 343-4245
(910) 343-4254
Mailing address
3802 PRINCESS PLACE DR, WILMINGTON, NC 28405-3226
(910) 343-4245
(910) 343-4254

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
8300128B
NC
225100000X
Physical Therapist
7270
NC
225100000X
Physical Therapist
9077
NC
225X00000X
Occupational Therapist
1237
NC
225X00000X
Occupational Therapist
3496
NC
235Z00000X
Speech-Language Pathologist
4584
NC
235Z00000X
Speech-Language Pathologist
6530
NC
235Z00000X
Speech-Language Pathologist
6881
NC
251B00000X
Case Management Agency
P003592
NC
251C00000X
Developmentally Disabled Services Day Training Agency
65000539
NC
251S00000X
Community/Behavioral Health Agency
Primary
P003800
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211807
NC
05
8300128B
NC
05
8300128K
NC
Enumeration date
01/29/2007
Last updated
02/07/2008
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