| NPI | 1306982673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE DAVIS President 251-338-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |