| NPI | 1639322472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLADEAN MCNEILL Owner 910-527-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026856) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2024-04-08 |