| NPI | 1750619656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DENISE JACKSON Executive Director 910-793-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-22 |