| NPI | 1407055858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON President 919-734-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-096-078) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC HAL-096-022) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-10-27 |