| NPI | 1740173400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS Q MCARTHUR Owner 336-604-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 174200000X Meals | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-04 |