| NPI | 1629954763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIBOR CHIBOR CEO 336-988-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |