| NPI | 1871214510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANYE MIYANG Executive Durector 919-444-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |