| NPI | 1114203759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOISE M DOWTIN Executive Director/Owner 919-231-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-092-528) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |