| NPI | 1558501809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL MURRAY CEO 336-884-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-880) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |