| NPI | 1104610906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA JOHNSON Owner 252-883-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-06-02 |