| NPI | 1386884518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MYLES Director/Ap 252-315-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2010-01-18 |