| NPI | 1942195789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRINNETTA MUMFORD Owner/Executive Director 336-337-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |