| NPI | 1003167586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TITO WILLIAMSON Director 910-978-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |