| NPI | 1982061610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE J DUNHAM Administrator 919-697-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2017-03-07 |