| NPI | 1518024322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KEITH SLOCUMB Cheif Executive Administrator 910-904-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL 047067) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-047-107) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-10-30 |