| NPI | 1174740948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JENKINS Director 919-220-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL032398) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-09-25 |