Leap Child & Family Services LLC
Developmental Therapist in Statesville, NC. Organization (NPI-2).
NPI number1962069286
StatusActive
Last updated in NPPESMay 22, 2019
Details
- NPI
- 1962069286
- Entity type
- Organization (NPI-2)
- Legal business name
- Leap Child & Family Services LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2019
- Last updated
- May 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
119 North Tradd StreetStatesville, NC 28677
Phone 980-330-2504
Mailing address
P.O. Box 34Cleveland, NC 27013
Phone 704-500-9511
Authorized official
Satonya D Smyre
Owner
9803302504
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