| NPI | 1104986132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MICHAEL PAGE Operations Manager 336-272-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-041-941) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-01-19 |