| NPI | 1326257965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEOSPHINE A OKEKE Director 336-375-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041736) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-02-24 |