| NPI | 1154463685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOORE HAMPTON BYNUM CEO 252-915-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |