| NPI | 1164755351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNETTE LOUISE TOOMER President/Owner/Director 252-937-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2009-09-07 |