| NPI | 1053080176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEDBETTER Owner 704-762-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |