NPI | 1023257870 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSITA SHARVON HARRIS Director 336-697-0709 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 041-891) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |