| NPI | 1912106378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARRISON CEO 919-734-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC HAL-096-022) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-08-22 |