| NPI | 1851629224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IVEY President 919-201-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-01-08 |