| NPI | 1891165684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A GOUGEON President 704-536-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC mhl-060-1204) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2021-11-01 |