| NPI | 1225192495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA WIGGINS JOHNSON Executive Director 919-734-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC MHL096146) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL096171) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl096146) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL096170) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |