| NPI | 1255734737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENZEL SESLEY CEO 336-500-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 39705969) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-08-23 |