| NPI | 1861542979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DANETTE CURRY Director 336-788-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-034-205) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |