| NPI | 1245837061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA S CEO/Executive Director 336-253-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-02-15 |