| 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, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |