| NPI | 1295040228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA RODRIGUEZ Owner, Director 910-229-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2010-08-14 |