| NPI | 1144357872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L CLEVELAND President 910-355-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-016-032) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-10-03 |