| NPI | 1528513983 |
|---|---|
| Doing Business As | PROVIZIONS TRANSITIONAL HOUSING |
| Entity Type | Organization |
| Authorized Contact | LATASHA U PROSS CEO 704-963-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-10-16 |