| NPI | 1174496061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHRYSTARRA BAILEY Owner 704-995-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |