NPI | 1881761427 |
---|---|
Entity Type | Organization |
Authorized Contact | BRELYN WADDELL Ar Manager 919-334-0249 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC NA) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN SO 09985A) |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 50053) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2012-03-19 |