| NPI | 1821852062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMEKA YVONNE TROY CEO 910-635-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2026-05-07 |