| NPI | 1528275054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JONES Executive Director 919-491-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 032-568) |
| Additional Taxonomies | 385H00000X Respite Care |
| 251S00000X | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-032-310) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-01-27 |