| NPI | 1558164053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE EDWARDS CEO 252-673-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 251E00000X Home Health | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 305S00000X Point of Service | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |