| NPI | 1881730448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MANUEL Director 252-527-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-19 |