| NPI | 1689821662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOISE M DOWTIN Administrator 919-349-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL092528) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |