| NPI | 1114132164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MONIQUE SABLON Facility Director 252-325-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 008-036) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-08-30 |