| NPI | 1831547728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERLANDA M. SMITH President 910-625-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |