| NPI | 1194893842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD K. GRANTHAM Director Of Operations 919-255-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-23 |