| NPI | 1194337006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL VENABLE Director 252-432-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2024-05-21 |