| NPI | 1336842756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HILLIARD HINTON Owner/Operator 252-237-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |