| NPI | 1497910921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA KAYE CROSSLAND Operations Manager 919-699-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |