| NPI | 1982751368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THURSHER GOODMAN WINSTEAD Provider 336-597-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-073-043) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-06-26 |