| NPI | 1376059501 |
|---|---|
| Doing Business As | EDENTON DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RICHARD LYNN SMITH VP Of Business Operations 919-778-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-021-009) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-021-009) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |