| NPI | 1497898993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA WILLIAMS Owner 336-855-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-041-621) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |