| NPI | 1386259265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SAMPSON CEO 252-955-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |