NPI | 1184780058 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES KEY Program Manager 910-439-4398 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |