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 |