| NPI | 1134206204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E GLENN GREENE Director 910-944-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL 063002) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-09-21 |