| NPI | 1164667036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTA L PAGE Executive Director/Owner 919-519-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL032460) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |