| NPI | 1447433479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E HARDISON Owner 252-946-6245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-007-053) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |