| NPI | 1043698210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATISHA MAE HAMILTON CEO 919-303-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |