| NPI | 1952437493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN DEMETRIUS NOBLES President 251-438-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AL 000316800) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-01-26 |