| NPI | 1316169683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDALYN HOWELL-ADAIR Director 919-751-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-096-149) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-02-12 |