| NPI | 1689713513 |
|---|---|
| Doing Business As | KENNEDY HOME |
| Entity Type | Organization |
| Authorized Contact | SAMUAL V. BAREFOOT Treasurer CFO 336-474-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC B00081) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-054-120) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-054-120) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |