| NPI | 1043564024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN DEBBIE HARDIN Owner 910-272-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |