| NPI | 1336411628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEISHA NICOLE HARDISON Orga Nizer/Member (Owner) 919-896-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |