| NPI | 1699645945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SIMMONS Manager Mgr 336-362-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |