| NPI | 1356475859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON OTOVO Executive Director 910-485-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026698) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-12-19 |