| NPI | 1043511348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY G TAYLOR Member/COO 704-706-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 253Z00000X In Home Supportive Care | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-02-02 |