| NPI | 1962268532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA PATRICE JONES Owner 919-648-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-07-15 |