| NPI | 1508502170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY WINSTON ENGLISH President 919-618-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-07-12 |