| NPI | 1154998441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DENISE GUNTER CEO 704-699-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2022-04-19 |