| NPI | 1861995367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMILLA V. JEFFERSON President 704-340-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-13 |