Organization
SHOWTIME MENTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER LYONS SR. (FOUNDER.)
(919) 434-7130
Entity
Organization
Contact information
Practice address
220 RAND RD, RALEIGH, NC 27603-9228
(919) 434-7130
Mailing address
220 RAND RD, RALEIGH, NC 27603-9228
(919) 434-7130
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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