| NPI | 1417176991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE MORGAN SANFORD Owner 919-554-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-092660) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |