| NPI | 1417714031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIKA YARNELL HOLLIDAY Executive Director 919-300-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |