| NPI | 1912883596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY STEED Owner 704-728-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-20 |