| NPI | 1851913966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE E JOHNSON CEO 336-705-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-12-16 |