| NPI | 1467595967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE SAUNDERS Director 336-882-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-682) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |