NPI | 1376692509 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD F. STAPLES Owner 336-635-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-079-083) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-079-080) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2010-09-13 |