| NPI | 1255574034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY JOHNSON CEO 910-321-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-07-15 |