| NPI | 1770629206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEIGH REESE-JOSEFSBERG Utilization Management Coordinator 919-855-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-02-12 |