| NPI | 1750759718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN J. HAWKINS President 910-747-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |