| NPI | 1932277076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRELYN WADDELL Contracts Manager 919-334-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 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: NC NA) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 50053) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-07-16 |