| NPI | 1255287207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL GREGORY FULTON Owner 252-645-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-07-17 |