| NPI | 1174131213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BROWN Managing Partner 336-255-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-03-27 |