NPI | 1164578886 |
---|---|
Former Legal Business Name | COLUMBUS HOUSE |
Entity Type | Organization |
Authorized Contact | SELENA ROWELL Executive Director 910-640-1557 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL024014) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL024017) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |