| NPI | 1710411665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKY IHENYEN CEO 919-491-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251B00000X Case Management | |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-10-03 |