| NPI | 1760723514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BROWN Administrator 919-949-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |