| NPI | 1073541900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SMITH Owner 910-424-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-716) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |