| NPI | 1003691544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITTNEY WILLIAMS Executive Director 336-500-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |