| NPI | 1003353475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA DENISE WILLIAMS Assistant Director 571-288-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL 035 050) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL 035 029) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |