| NPI | 1770922551 |
|---|---|
| Other Name | JOSEPH SMITH HOME |
| Entity Type | Organization |
| Authorized Contact | BRELYN WADDELL Contracts Manager 919-334-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |