| NPI | 1245300334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAILYN SINGLETON Admin 919-405-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-10-01 |