| NPI | 1326186578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER YOUNG Director 910-223-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026742) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-09-10 |