| NPI | 1417370545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GIOVANNI CREECY CEO 910-257-6406 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2021-04-21 |