| NPI | 1073650446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA JEAN WESTON Onwer 910-527-0258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL047101) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-04-08 |