| NPI | 1871776203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD RAHMAAN Director 910-864-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl 026-777) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |