| NPI | 1043458623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HACKMANN CEO 919-734-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-032-071) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2019-01-18 |