| NPI | 1730038886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKARIE AMON PURNELL CEO/Manager 252-690-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-01-22 |