| NPI | 1144457813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JONES Owner 336-987-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL041915) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |