| NPI | 1346492063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEAN MAURICE LEWIS President 704-299-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2009-11-10 |