| NPI | 1194676817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD TREMAYNE POWELL CEO 252-343-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2026-02-07 |
| Last Update Date | 2026-04-28 |