NPI | 1225440647 |
---|---|
Doing Business As | HEALTHCORE ADOLESCENT RESIDENTIAL TREATMENT IV |
Entity Type | Organization |
Authorized Contact | IJEOMA E NWAEZE CEO 919-872-1178 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2014-05-21 |
Last Update Date | 2015-01-09 |