| NPI | 1932367638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYNN DONOVAN Executive Director 704-537-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-0601037) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-03-28 |