| NPI | 1841608866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENA IKWECHEGH Director 336-287-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-24 |