| NPI | 1922280429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOPHAS STEWART Director 336-299-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |