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Organization

J. IVERSON RIDDLE DEVELOPMENTAL CENTER

Active
Other names
Family, Infant and Preschool Program
Organization subpart
No

Provider details

NPI number
Authorized official
TERI DARLENE CORNETT BSBA-SM, BSBA-ACC (ADMINISTRATIVE SPECIALIST)
(828) 608-6703
Entity
Organization

Contact information

Practice address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 433-2722
Mailing address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 608-6703
(828) 608-6950

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/14/2009
Last updated
01/09/2025
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