| NPI | 1508909144 |
|---|---|
| Other Name | CREST |
| Entity Type | Organization |
| Authorized Contact | DWAYNE K. PATTERSON Executive Director 910-487-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-639) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-640) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-641) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-642) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-643) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-07-29 |