| NPI | 1295669463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMELAH R WILLIAMS-LUSTER Managing Member 919-891-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |