| NPI | 1891836193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE RUBENSTAHL Administrator 910-483-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-07-29 |