| NPI | 1972798395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE MCDUFFIE Office Administrator 704-833-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-07-21 |