| NPI | 1750114005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA STRINGE JENKINS Director 910-705-1553 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |