| NPI | 1518093814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PARKER Administrator 910-323-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC FCL 026 018) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL 026 658) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL 026 772) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL 026 021) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL 026 035) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 3418084) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-10-23 |