| NPI | 1568618957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE HOLLINGSWORTH President 919-403-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL032326) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |