| NPI | 1306517495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHAY COLTRANE Owner 336-699-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |