| NPI | 1225670698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC BLOUNT Consulting 919-797-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2025-02-26 |