| NPI | 1780049429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRACHEL AYUN PT A 336-609-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC 2251500000x) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |