| NPI | 1801085220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LOYD Director 336-529-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 251B00000X Case Management | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-11-26 |