| NPI | 1992246680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE F. PICKENS CEO 336-681-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-041-071) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |