| NPI | 1154078715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHIA MCCRAY PULLEY Director 919-916-7783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |