| NPI | 1033382486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN LEE MCNEILL President 910-583-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |