| NPI | 1699665323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ENZLOW Owner/CEO 336-270-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |