| NPI | 1275579641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B ATKINSON Administrative Director 919-658-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-06-15 |