Individual provider · Type 1 NPI

Jodi Willis

Developmental Disabilities Clinic/Center · Raeford, NC

NPI number 1912186792 Active

Practice location

305 Wooley St
Raeford, NC 28376-3236

Fax (910) 875-7694

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Another provider at this address

About NPI 1912186792

Jodi Willis's National Provider Identifier is 1912186792, issued on Oct 30, 2007. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Raeford, NC. The record was last updated on Oct 30, 2007.