| NPI | 1821682675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL TAYLOR CEO 252-315-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| 226000000X Recreational Therapist Assistant | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372600000X Adult Companion | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |