| NPI | 1720105026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEE Executive Director 336-989-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |