| NPI | 1780534487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OEDIPUS LAVAR MUMPHREY Organizer 336-343-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-02-02 |