| NPI | 1962808154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA ROBINSON Vice President 336-398-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |