NPI | 1164772489 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY GRACE BRIGHT Executive Director 252-524-4950 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-074-037) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-09-13 |