| NPI | 1760568778 |
|---|---|
| Former Legal Business Name | WHITFIELD HOMES ASP |
| Entity Type | Organization |
| Authorized Contact | PERCY WILSON GOODE Owner President 910-592-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-082-040) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-082-054) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-026-736) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-082-045) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-082-045) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-09-05 |