| NPI | 1619153954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATISHA MAE HAMILTON Owner 919-303-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-04-08 |