| NPI | 1477646099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STATON Director 252-329-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-074-121) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |