| NPI | 1679698195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLA TONGCHY VUE Hickory District Director 828-465-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC mhl-018-075) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC mhl-018-075) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-10-04 |