| NPI | 1104049139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E VENICE PRESTON Executive Director 336-882-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NC 261QA0600X) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |