| NPI | 1861693707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN JONES Residential Care Provider 252-560-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-17 |