| 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, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-11-08 |