| NPI | 1801063359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY HILL Program Manager 919-403-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCL-032-046) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |