| NPI | 1003032137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA IRELAND-MCNEIL President 336-512-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL001145) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |