| NPI | 1598630311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOREY D EVANS Rendering Provider 704-562-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2026-07-06 |