| NPI | 1508170069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HACKMANN CEO 919-734-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-096-127) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL096127) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-01-18 |