| NPI | 1952426801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RECCILLE D. BEAMON President 336-668-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-738) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-08-04 |