| NPI | 1598944720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD SWEENEY Administrator 336-697-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL041806) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |