| NPI | 1679682421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE WIGGINS Executive Director 919-220-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: NC MHL-032-255) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-149) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-245) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-133) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-349) | |
| 251E00000X Home Health (Licence: NC HC1631) | |
| 253Z00000X In Home Supportive Care (Licence: NC MHL-032-255) | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-0320255) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-05-10 |