| NPI | 1083597074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL QUICK CEO 910-434-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |