| NPI | 1033795794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESHA FAULK CEO/Director 919-880-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |