| NPI | 1316495369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN HENRY HARPER Administrator/Owner 252-314-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL033014) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |