| NPI | 1063679637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA EVA MOORE President 919-844-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC POO4120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-07-23 |