| NPI | 1003223066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARSHEEM CHAPMAN Presidnet 910-364-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |