| NPI | 1063638328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY N. OKEKE Administrator 919-641-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC MHL032299) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |