| NPI | 1700910403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA PATRICE RATLIFFE Director 910-875-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-047-095) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-05-06 |