| NPI | 1255485959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON President 919-734-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC MHL-096-088) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-096-078) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-11-02 |