NPI | 1417146531 |
---|---|
Entity Type | Organization |
Authorized Contact | SIBILLIA GRAVES Owner 336-656-7767 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL041613) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2009-02-16 |