| NPI | 1063999688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY RICHARD President / CEO 919-832-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-05-02 |