| NPI | 1609052182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOCORRO GARCIA Owner 919-278-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-696) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NC MH-092-696) |
| 385H00000X Respite Care (Licence: NC MHL-092-696) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |