| NPI | 1376601419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS ALTON BASS Executive Director 919-255-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 092091) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |