| NPI | 1578174355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE WORSLEY CEO 252-347-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |