| NPI | 1255581351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARY CURTIS CEO 336-676-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL041-528) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |