| NPI | 1669668687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA WAMBUI MUCUGU Administrator 919-279-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL 092 629) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |