| NPI | 1366606295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L CALDWELL CEO 336-837-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |