| NPI | 1174884399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BARNETT CEO 252-714-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2017-10-13 |