| NPI | 1962247866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZURI HAITH Operations Manager 336-695-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-10-04 |