| NPI | 1104059179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELETHIA BASKERVILLE Secretary 252-915-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |