| NPI | 1639231194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN TRAMALLE GRAY Executive Director 704-866-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 251S00000X) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC 251B00000X) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NC 251C00000X) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-11-16 |