| NPI | 1295154391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNETTE LYONS CEO 910-864-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL026891) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |