| NPI | 1386420511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIA BARNES Executive Director 980-384-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |