| NPI | 1841682143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JONES General Operations Manager 252-946-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL-007-021) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |