| NPI | 1831273440 |
|---|---|
| Former Legal Business Name | DAVIDSON COUNTY SHELTERED WORKSHOP |
| Entity Type | Organization |
| Authorized Contact | CARROL DELANE GANTT Administrator 336-248-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-029-024) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-029-025) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |