| NPI | 1720398282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLADEAN MCNEILL Owner 910-527-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026902) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |