| NPI | 1366564890 |
|---|---|
| Professional Name | CAROL ADRIENNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 032317) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-11-01 |