| NPI | 1528299518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACCQUELINE DAVIS Office Manager 252-446-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-11-09 |