| NPI | 1023302114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKA TERRILL JONES Director 252-521-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC FCL033007) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2012-11-14 |