| NPI | 1356408082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON R CORNETT Vice President Of Network Support 704-916-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-02-12 |