| NPI | 1114290608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN MORRISON Executive Director 336-255-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2022-04-19 |