| 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 |