| NPI | 1609277516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA P HINTON Executive Director 919-479-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 3418282) |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: NC 3418282) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |