NPI 1366024465

Structured Chaos

Organisation Early Intervention Provider Agency Raleigh, NC

Practice location

Address: 700 Marsh Grass Dr, Raleigh, NC 27610-2194
Phone: (919) 389-7686

Authorised official

Name: Candace Jennette
Title: Owner
Phone: (919) 389-7686

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in North Carolina →

Registry record

NPI: 1366024465
Entity type: Organization
NPI issued: 27 Apr 2021
Record last updated: 27 Apr 2021

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.