| NPI | 1629328943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE BRIGHT Executive Director 252-524-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-074-021) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |