| NPI | 1164611760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILDA ALLEN Program Director/Owner 919-201-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-032-417) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-07-08 |