NPI 1457788929

Mlphenrydba Developmental Therapy Services

Organisation Supports Brokerage Agency Snow Camp, NC

Practice location

Address: 7125 Bass Mountain Rd, Snow Camp, NC 27349-9167
Phone: (336) 214-2879

Authorised official

Name: Margaret Lisa Pike Henry
Title: Cbrs Provider
Phone: (336) 214-2879

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence CBRS INFANT TODDLER (NC)

Other Supports Brokerage providers in North Carolina →

Registry record

NPI: 1457788929
Entity type: Organization
NPI issued: 30 Sep 2013
Record last updated: 16 Oct 2013

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.