| NPI | 1598038408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD WRIGHT Owner 336-392-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-3092) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |