| NPI | 1942483938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLMAYNE SEABERRY ALSTON Executive Director 919-798-8638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL092631) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NC MHL092631) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |