| NPI | 1053590778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUES ANTWAIN JOHNSON CEO/President 919-802-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |