| NPI | 1992015432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET OKWOSHAH President 919-819-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-791) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-05-20 |