NPI | 1396288585 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN A. SMITH CEO 336-747-3479 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp (Licence: NC 27780134) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 27780134) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |