| NPI | 1033390919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS SESSOMS Owner 252-641-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL033052) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |