| NPI | 1952465999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LOUISE FARMER CEO 252-977-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-033-040) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |