| NPI | 1306585419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA A ADEWOYE Program Manager 919-928-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |