| NPI | 1487095709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENA E IKWECHEGH Director/Owner 336-287-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-02-18 |