| NPI | 1326274614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES SINGLETON Executive Owner 336-501-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |