| NPI | 1821286816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN OUMA NYABWA Owner 919-477-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-032-403) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2013-02-20 |