| NPI | 1235962390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DANIELLA MELTON Psresident 919-641-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 335G00000X Medical Foods Supplier | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 253Z00000X In Home Supportive Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-10-24 |