| NPI | 1215110739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DONALD DOVE Administrator 919-791-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-032-416) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |