NPI | 1033664842 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE W WILLIAMS Owner 252-813-9880 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2016-08-22 |
Last Update Date | 2016-08-22 |