| NPI | 1235482662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE CARTER VP/Director Of Operations 336-271-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL0411052) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |