| NPI | 1083365704 |
|---|---|
| Former Legal Business Name | SUNNYBROOK PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY, LLC |
| Entity Type | Organization |
| Authorized Contact | RASHAE N WILLIAMS CEO 910-853-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |