NPI | 1598231169 |
---|---|
Entity Type | Organization |
Authorized Contact | CORA T KIMBLE President 919-730-7734 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2018-10-22 |
Last Update Date | 2023-11-08 |