| NPI | 1285514562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHON LASSITER Owner 910-500-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |