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