| NPI | 1588917165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENIKA WALKER Manager 336-209-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8498) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2012-10-20 |