| NPI | 1609288000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERION L. BAAHETH President 251-345-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |