| NPI | 1992090666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L ROBINSON President 251-458-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |