| NPI | 1063373819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURGUNDI HERRING Owner 252-281-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |