| NPI | 1083190466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ERICK MOSES President 910-964-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 251C00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |