| NPI | 1689710006 |
|---|---|
| Doing Business As | B.A.C.'S PLACE |
| Entity Type | Organization |
| Authorized Contact | BETTY ANN CLARK Executive Director 7045-323-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC 60001581) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |