| NPI | 1134913577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY WINGATE Owner Manager 919-913-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |