| NPI | 1477760130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA T LIGGINS Owner 336-275-7328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL-041-030) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-06-30 |