| NPI | 1679905582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA P HINTON Executive Director 919-479-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-073-064) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC MHL-073-064) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |