| NPI | 1881275428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEONYA JENKINS Member 252-572-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-07-20 |