| NPI | 1780897843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEARLDENA M. TURNER Director 910-483-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-026-733) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-10-30 |