Provider Demographics
NPI:1629301866
Name:TODOS JUNTOS/ ALL TOGETHER CBRS
Entity Type:Organization
Organization Name:TODOS JUNTOS/ ALL TOGETHER CBRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:M EDX
Authorized Official - Phone:910-978-5823
Mailing Address - Street 1:7202 GODFREY DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-2405
Mailing Address - Country:US
Mailing Address - Phone:910-978-5823
Mailing Address - Fax:910-339-9504
Practice Address - Street 1:7202 GODFREY DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-2405
Practice Address - Country:US
Practice Address - Phone:910-978-5823
Practice Address - Fax:910-339-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty