| NPI | 1538446232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON KEITH WHITE Owner 919-672-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-001-124) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |