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 |