| NPI | 1952672206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEA WILLIAMS Administrator 252-366-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |