| NPI | 1467616318 |
|---|---|
| Doing Business As | S & S SPOONRIDGE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNETTE LYONS Administrator CEO 910-864-3426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026809) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026809) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-04-17 |