| NPI | 1578942157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DEREK MITCHELL Operations Manager 336-273-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |