| NPI | 1407928633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JOHNSON STILES Administrator 910-485-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |