| NPI | 1720410426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGO EMODI-ONWUKA Director 919-493-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-243) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |