| NPI | 1366529695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONAS WILTERINA PERRY Director 828-299-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-011-210) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-17 |