| NPI | 1023105251 |
|---|---|
| Doing Business As | WAKE JUVENILE DAY TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFERY TODD EDWARDS Administrator 919-754-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-092-628) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |