| NPI | 1083037436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TILLER Authorized Administrtive Official 919-986-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-092-733) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |