| NPI | 1225339054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED C WILSON Director 910-630-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-823) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |