123 Go Kidz
Early Intervention Provider Agency in Morehead City, NC. Organization (NPI-2).
NPI number1619313277
StatusActive
Last updated in NPPESJun 14, 2018
Details
- NPI
- 1619313277
- Entity type
- Organization (NPI-2)
- Legal business name
- 123 Go Kidz
- Organization subpart
- No
- Enumeration date
- May 22, 2013
- Last updated
- Jun 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
2339 Shore DrMorehead City, NC 28557
Phone 252-342-4043 · Fax 888-731-1425
Mailing address
2339 Shore DrMorehead City, NC 28557-9415
Phone 252-342-4043 · Fax 888-731-1425
Authorized official
Nora Elizabeth Spires
Owner/Cbrs Provider
2523424043
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