| NPI | 1881837854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOREIA EPHRAIM CEO/Owner 910-813-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-047-116) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |