| NPI | 1053623140 |
|---|---|
| Doing Business As | NC BROOK HAVEN BEHAVIORAL |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BAKER Owner 828-676-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-011-274) |
| Additional Taxonomies | 251S00000X (Licence: NC MHL-011-274) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2012-10-31 |