| NPI | 1770862617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET OKWOSHAH Administrator 919-819-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |