| NPI | 1518280668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN DENEESE WALKER Executive Director 251-379-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |