| NPI | 1265168009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA YVONNE SMITH Owner 910-551-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |