| NPI | 1952570012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JONES CHERRY Director Of Operations 336-767-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 034-220) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |