| NPI | 1558596536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON President 919-734-0266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-096-109) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |