| NPI | 1497991285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY M FORD Secretary Treasurer/Administrator 919-637-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2008-12-27 |