| NPI | 1871788638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E FREEMAN President 919-751-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL906201) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |