| NPI | 1942562772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIRA HUTCHINSON President 336-282-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |