| NPI | 1710384615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARSHALL Administrator 910-354-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |