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 |