| NPI | 1063567188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA WILLIAMS JONES Director 919-738-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 8300945) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |