| NPI | 1740340868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BURKES Division Director Dsohf 919-855-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-10-17 |