| NPI | 1023315629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WRAY Administrator 919-451-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |