| NPI | 1083437628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMESHA HUGHES-FRAZIER CEO 252-571-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-05 |