| NPI | 1447433404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGIE GILLIS HARRIS Administrator 919-231-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC fcl092109) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2013-11-21 |