| NPI | 1669504437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE WILLIAMS Program Manager 919-306-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NC MHL032228) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NC MHL032228) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL032228) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL032228) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-08-01 |