| NPI | 1467281386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE ALSTON Habilitation Tech 919-438-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-10-24 |