| NPI | 1740324763 |
|---|---|
| Other Name | CREST |
| Entity Type | Organization |
| Authorized Contact | DWAYNE K. PATTERSON Executive Director 910-487-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-642) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-07-11 |