| NPI | 1427195213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON BARNES Administrator 252-237-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |