| NPI | 1780704213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HINTON Owner 252-237-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL098-102) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-01-09 |