| NPI | 1679707574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTANNA OMEZE NWANKWO Director/Administrator 919-522-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-741) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |