| NPI | 1285821082 |
|---|---|
| Former Legal Business Name | GREAT EXPECTATIONS RESIDENTIAL SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES PACKER Owner/ President 910-860-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL026838) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |