| NPI | 1730219940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB EDWARD MINSHEW Director Of Operations 252-747-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-040-005) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-05-17 |