| NPI | 1417097080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES VINSON GRAHAM Owner 910-608-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL078162) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-02-04 |