| NPI | 1811226368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SIMPSON Managing Member 336-939-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |