| NPI | 1295237519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENA E IKWECHEGH President 336-287-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |