| NPI | 1245382092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDETRA M SAMPSON Owner 910-740-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHl078153) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHI078153) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-01-30 |