| NPI | 1598847550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M WALSH Executive Director 910-251-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-03-04 |