NPI | 1780951244 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA A ERVIN President 252-200-4930 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Additional Taxonomies | 174H00000X Health Educator |
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-12-03 |