NPI | 1528699204 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY PRICE CEO 704-701-3915 |
Organization Subpart ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
385H00000X Respite Care | |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |