| NPI | 1609197557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN FISHER Executive Director 252-670-3751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |