| NPI | 1265552905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD HINSON Director 336-327-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-807) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-15 |