| NPI | 1831391770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUBORIS JAMES PETERKIN CEO Owner 919-669-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-047-100) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |