| NPI | 1194857177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDRAKE KAREEM LEWIS Director 919-279-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6603768) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |