| NPI | 1447561154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C MONTALVO-COLLINS Owner 919-598-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-07-07 |