NPI | 1609197896 |
---|---|
Doing Business As | ESTHER'S PLACE FACILITY |
Entity Type | Organization |
Authorized Contact | CORNELIUS WILLIAMS President/Registered Agent 252-204-1381 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-091-087) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2021-09-25 |