| NPI | 1275782856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TAFT President 252-902-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2009-08-19 |