| NPI | 1770024846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE PURVIS Member 919-824-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |