| NPI | 1407978406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUN IDOWU OLUSESI CEO 919-274-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-092-647) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |