| NPI | 1457920944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIKA DAWSON SHEPPARD Agency Director 252-751-6379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-08-28 |