| NPI | 1710489976 |
|---|---|
| Doing Business As | PROLIFIC COMMUNITY RESOURCES |
| Entity Type | Organization |
| Authorized Contact | MEGAN COMMEDO MORAVIAN Administrator 336-542-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-1142) |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2023-10-25 |