| NPI | 1063798031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON R CORNETT Vice President Of Network Support 704-916-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2025-02-11 |