| NPI | 1497031207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH ELLIS CEO 919-917-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |