| NPI | 1194150417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALONDA COLEMAN Administrative 919-208-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL092659) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC MHL092659) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |