| 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 |