| NPI | 1609015411 |
|---|---|
| Other Name | NORTH DRIVE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-096-216) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2025-10-08 |