| NPI | 1588170468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONETTE BROWN BRADY Director 336-964-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |