| NPI | 1124227277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE D. SMITH Executive Director 910-323-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-11-10 |