| NPI | 1609026350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SALISSOU Program Director 336-287-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |