| NPI | 1225903024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEANDRE RAIFORD Director 919-464-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |