| NPI | 1124171285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM DOUGLAS Nc Director 828-439-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-059-018) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2017-06-12 |