| NPI | 1952537631 |
|---|---|
| Other Name | TISE COTTAGE |
| Entity Type | Organization |
| Authorized Contact | GEORGE M BRYAN CEO/President 336-721-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL034242) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |