| NPI | 1154344141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANTHONY RAIFORD CEO 919-394-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-21 |