NPI | 1033409453 |
---|---|
Other Name | MAPLEWOOD FACILITY |
Entity Type | Organization |
Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-054-159) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2023-09-28 |