| NPI | 1720132418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LIVINGSTON Director 336-722-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |