| NPI | 1831240647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA PARKER Owner Director 336-271-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-041-671) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NC mhl-041-671) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |