| NPI | 1730387820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEVERNE CALDWELL Owner 336-837-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL- 041- 823) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |