| NPI | 1245541150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILENCIA DIANSHANETTE HAMILTON Director 252-315-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |