| NPI | 1871919548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY RICHARD President / CEO 919-832-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-092-267) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-20 |