| NPI | 1417088279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA GILMORE CAMERON COO 252-946-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL007002) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL007002) |
| 261QD1600X Clinic/Center Developmental Disabilities (Licence: NC MHL007002) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-01-13 |