| NPI | 1952582181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE YORK BURROWES Executive Director 251-457-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: 3206000000X) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-16 |