NPI | 1215068341 |
---|---|
Former Legal Business Name | HARBOR HOUSE OF GOLDSBORO |
Entity Type | Organization |
Authorized Contact | GLENDA WIGGINS JOHNSON Executive Director 919-734-8310 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |