| NPI | 1770177834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANTA DORLEY President/Founder 336-662-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-12-22 |