| NPI | 1013051176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE GRANT Executive Director 910-489-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 041-787) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |