| NPI | 1578079604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BENSON CFO 336-553-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253J00000X Foster Care Agency | |
| 261Q00000X Clinic/Center | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2021-08-19 |