| NPI | 1386106722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN MARIE HOLDER Owner 336-995-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-11-27 |