| NPI | 1659084721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ALBERTA BLAKELY Agency Director 252-531-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |