| NPI | 1336467216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D DELLINGER Member/Manager 828-382-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |