NPI | 1194807552 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY P. ROSSER Executive Director 336-751-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-030-021) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2020-08-22 |