| NPI | 1780036988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHTSENTE WORKU EBRON Occupational Therapist 919-539-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC 4262) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |