| NPI | 1871681551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH NICKELBERRY Vice President 910-826-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-067-154) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |