| NPI | 1235395294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA RAYNETTE YOUNG Director 980-253-3764 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-096-199) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |