NPI | 1164234241 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN MINOR Director 336-534-5410 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-01-24 |
Last Update Date | 2025-01-24 |