| NPI | 1629108071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASONYA VANEATON Director 336-431-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-041-1084) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-813) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-987) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-987) | |
| 251S00000X (Licence: NC MHL-041-1084) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NC MHL-041-1084) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: NC MHL-041-1084) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-041-987) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-12-08 |