| NPI | 1679675656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL B WITHERSPOON CEO, Director 336-734-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC 9046) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-04-19 |