| NPI | 1023298494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA YVETTE WHIPPLE Owner/Director 704-575-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-1040) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-02-13 |