NPI | 1043726326 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY SIMPSON President 252-340-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2017-12-21 |
Last Update Date | 2020-05-12 |