| NPI | 1225159452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BELL WILLIAMS Owner 336-767-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-034-204) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |