| NPI | 1114161403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN CARR Owner/Office Mgr. 910-285-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 8301979) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |