NPI 1104144682

Mentoring for Change, INC

Organisation Developmentally Disabled Services Day Training Agency Greenville, NC

Practice location

Address: 211 W 14th St Suite D, Greenville, NC 27834-4081
Phone: (252) 695-2004
Fax: (252) 695-2005
Mailing address: 1206 Evans St, Greenville, NC 27834-4102

Authorised official

Name: Dalton Stephon Kornegay
Title: PHD
Phone: (252) 714-2145

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1104144682
Entity type: Organization
NPI issued: 10 May 2010
Record last updated: 13 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.