| NPI | 1477670784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANTE WATSON Executive Director 919-419-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |