| NPI | 1205161072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET OKWOSHAH Administrator 919-819-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-749) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |