| NPI | 1902083975 |
|---|---|
| Former Legal Business Name | WAKE COUNTY SPECIALIZED RESIDENTIAL HOME FOR CHILDREN, INC. |
| Entity Type | Organization |
| Authorized Contact | DIANE P. VAN HUSEN Executive Director 919-390-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-092-005) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2016-03-29 |