| NPI | 1174674220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A HACKMANN Executive Director 919-734-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |