| NPI | 1316178551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORA CHAVON PETTY Administrator 919-718-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 251C00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |