| NPI | 1215062666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JEFFREY MAXWELL Director 910-826-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-952) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-689) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-12-06 |