| NPI | 1447489422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP J. HAWKINS President 336-215-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-919) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2010-01-01 |