| NPI | 1972807915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA POWELL Director/Administrator 252-291-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-098-155) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |