| NPI | 1063558591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BURKES Division Director 919-855-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-03-07 |