| NPI | 1851624910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PAUL Board Secretary 336-520-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-06-07 |