| NPI | 1871370783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE S JONES Executive Director 251-217-4748 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |