| NPI | 1144303298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIVIA R MILBURN Executive Director 704-568-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NC MHL060946) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL060946) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-09-11 |