| NPI | 1891843009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA MARCELLUS Clinical Consultant 919-306-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-039-043) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2007-08-16 |