| NPI | 1659745438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY THOMASEEC CEO 910-867-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |