| NPI | 1174653067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E. BARBEE Administrator 919-491-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL032057) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |