| NPI | 1336580620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA PIERCE CEO 910-488-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |