| NPI | 1235276031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN LEE MCNEILL Facility Director 910-583-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 026-694) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 047-068) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-04-23 |