| NPI | 1689891814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B MOSLAK Administrator 919-833-3763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC FCl-092-017) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |