| NPI | 1245572387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN O NYABWA Executive Director 919-477-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL 032-403) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |