| NPI | 1205001583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE PETERS HILL Executive Director 336-451-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL041633) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |