| NPI | 1063234300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY COOPER President 704-604-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |