| NPI | 1184016636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE WIGGINS CEO 919-220-0021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL032597) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |