| NPI | 1821395674 |
|---|---|
| Other Name | EXTENDED REACH DAY TREATMENT |
| Entity Type | Organization |
| Authorized Contact | ANDREA MONIQUE BOATMAN CEO 910-229-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-026-852) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2014-07-15 |