| NPI | 1831391416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WHITSETT CRITE Owner 336-215-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-618) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |