| NPI | 1164711446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MCPHAUL Owner/President 910-565-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-08 |