| NPI | 1366699415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMELLIA SAUNDERS Administrator 910-530-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |