| NPI | 1922896927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHQUANNA C RICHARDSON CEO 919-664-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |