NPI | 1033595988 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN BLACKWELL Owner 336-317-1926 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2015-08-03 |
Last Update Date | 2015-08-03 |