| NPI | 1710261813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CHRISTINE THOMAS Speech Language Pathologist 919-526-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 6293) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NC 6293) |
| 283X00000X Rehabilitation Hospital (Licence: NC 6293) | |
| 302R00000X Health Maintenance Organization (Licence: NC 6293) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC 6293) | |
| 314000000X Skilled Nursing Facility (Licence: NC 6293) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 6293) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |