NPI | 1578682084 |
---|---|
Entity Type | Organization |
Authorized Contact | PAGE H ALBERTS CEO 336-389-1142 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-041-751) |
251S00000X (Licence: NC MHL-041-751) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |