| NPI | 1063734564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIA UZOAMAKA EZUMA Administrator 919-345-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-759) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |