| NPI | 1114225554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUBORIS JAMES PETERKIN President 919-669-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-047-138) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |