| NPI | 1275672685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R WILSON President & CEO 910-483-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L3(20)4M5-085-3042) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |