| NPI | 1033359609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA ALICIA GEORGE Owner 919-850-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 320600000X) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |