| NPI | 1154897239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R PEARSON CEO 336-331-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-06-24 |