| NPI | 1992980387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON R CORNETT Vice President Of Network Support 704-916-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2025-05-30 |