| NPI | 1073712428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON President 919-734-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC HAL-096-022) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-08-19 |