| NPI | 1538487574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ROUSE Chief Operating Officer 336-427-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2013-09-23 |