| NPI | 1922430172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MURRAY Executive Assistant 919-787-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-473) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |