| NPI | 1952655565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON THURMAN CRANK President 980-295-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2012-11-04 |