| NPI | 1750507026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY N. OKEKE Administrator 919-641-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-346) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |