| NPI | 1457558736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE CAGLE Executive Director 336-852-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC 3409220) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-16 |