| NPI | 1245460336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C HODIAK Executive Director 910-692-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-063-079) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-08-18 |