Advance Intergrated Mentoring
NPI #1306224019 in Rockingham, North Carolina
Provider Information
- NPI Number
- 1306224019
- Entity Type
- Organization
- Organization Name
- Advance Intergrated Mentoring
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 13, 2015
- Last Updated
- May 13, 2015
Practice Location
- Address
- 205 S SKIPPER ST
- City
- Rockingham
- State
- North Carolina
- ZIP Code
- 28379-3843
- Phone
- (336) 404-2110
Authorized Official
- Name
- MR. SORDAO BERNARD MCKENZIE, LCAS-A
- Title
- THERAPIST
- Phone
- (336) 404-2110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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