| NPI | 1871885517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MALONE SMITH President 251-648-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |