| NPI | 1265703201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY BRIDGETT President/Executive Director 910-618-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 347B00000X Bus | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |