| NPI | 1881760098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. BLAKE President 252-531-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 1041C0700X Social Worker, Clinical | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-01-04 |