| NPI | 1154440931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE K MCDUFFIE Office Administrator 704-833-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-07-25 |