| NPI | 1013733625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMUKA HOSKINS HENDRIX Owner 336-324-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |