| NPI | 1023143112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L GARDNER Director 919-580-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-096-182) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |