| NPI | 1588826879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL BREIER Owner/Director 336-617-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |