| NPI | 1104593565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRIAN COLEMAN Director Revenue Cycle 919-709-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-25 |