| NPI | 1801071238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA JONES CEO 336-767-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL034336) |
| Additional Taxonomies | 251S00000X (Licence: NC MHL034323) |
| 251S00000X (Licence: NC MHL034286) | |
| 251S00000X (Licence: NC MHL034296) | |
| 251S00000X (Licence: NC MHL034223) | |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-223) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-323) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-336) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-286) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-296) | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2019-11-15 |