| NPI | 1215475165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN VINSON Director 252-396-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-10-03 |