| NPI | 1235351446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUKAIRO MACK TOWNSEND Clinical Director 919-217-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| 251X00000X | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-09-03 |