| NPI | 1568792109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN LEE MCNEILL Administrator 910-583-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2014-02-28 |