| NPI | 1104144682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALTON STEPHON KORNEGAY Phd 252-714-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-13 |