| NPI | 1164318952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARESA RENEE GRIFFIN CEO 252-999-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |