| NPI | 1003103722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EVETTE CARROLL Owner 336-837-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |