NPI | 1053750828 |
---|---|
Other Name | OSA BROWN HOME |
Entity Type | Organization |
Authorized Contact | BRELYN WADDELL Contracts Manager 919-334-0249 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2013-06-14 |
Last Update Date | 2013-06-14 |