NPI | 1245006428 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIAN COSTELLA HOLLOWAY Owner 252-286-9927 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |