| NPI | 1871772731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN HAMMONDS President/CEO 252-243-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |