| NPI | 1467781054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MILES Managing Member 336-939-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |