| NPI | 1801949375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY SPELLS Owner 919-284-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-096-184) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2009-06-09 |