| NPI | 1760615306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M HEWITT Director 919-494-5829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-035-042) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |