| NPI | 1043468796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NAPOLEAN BEACHEM Owner/Program Director 336-399-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2010-02-03 |