| NPI | 1669689766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIKA YARNELL HOLLIDAY Program Director 919-403-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL 032244) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |