| NPI | 1841339017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR KING Owner 919-303-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL092550) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-12 |