| NPI | 1619115078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA H RYDIN-GRAY Clinical Associate 919-684-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC 3619) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |