| NPI | 1932371135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON C ROGERS CEO 919-599-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-705) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |