| NPI | 1346766136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNITA OCTAVIA HASKINS CEO 919-455-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 305R00000X Preferred Provider Organization | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |