| NPI | 1710039086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMONTAY RAMEL MUNFORD Director 910-867-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 026-822) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-08-20 |