| NPI | 1427137017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE WARREN Executive Director 336-831-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-034-365) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC MHL-034151) |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-034-365) | |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC MHL-034-365) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-19 |