| NPI | 1699274639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA LEWIS CEO 910-476-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 261QM0801X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-06-11 |