| NPI | 1295167625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN FUNCHESS Chief Executive Manager 336-501-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2024-01-08 |