| NPI | 1104013994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARLIE M BERRY Adm 910-326-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 067009) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-07-25 |